StretchfMRI: a new technique to study the brainstem correlates of long-latency responses

NIH RePORTER · NIH · R21 · $456,666 · view on reporter.nih.gov ↗

Abstract

PROJECT SUMMARY Spasticity is a common condition after stroke. Clinically, spasticity can be recognized as a velocity-dependent increase in stretch reflexes, and is one of the primary sources of motor impairment in individuals with chronic stroke. While a lot of research has addressed how spasticity modulates the gain of short-latency reflexes, much less is known about the neural pathways that regulate the long-latency responses, a fundamental component of the human motor control system that is severely affected in patients with post-stroke spasticity. In this project, we will develp StretchfMRI, a new measurement technique that combines an MRI-compatible robot with muscle electromyography and with high-resolution functional imaging of the brainstem via fMRI. StretchfMRI will enable, for the first time in vivo and in human, the measurement of activity of brainstem nuclei during long-latency responses. In this project, we will use StretchfMRI to establish the direct involvement of nuclei in the reticular formation in producing a long-latency response. The technique developed in this project is an important step towards a quantitative understanding of basic principles of neuromuscular control, and has important applications in assessing neuromotor impairment and recovery after stroke. StretchfMRI lays the groundwork for establishing causality in cortico-reticular function associated with LLRs. In future work, we plan to apply StretchfMRI in a patient population to study the neural correlates underscoring spasticity in patients with stroke-induced motor impairment.

Key facts

NIH application ID
9896490
Project number
1R21NS111310-01A1
Recipient
UNIVERSITY OF DELAWARE
Principal Investigator
Fabrizio Sergi
Activity code
R21
Funding institute
NIH
Fiscal year
2020
Award amount
$456,666
Award type
1
Project period
2020-02-01 → 2023-01-31